NPI | 1790184166 |
---|---|
Former Name | ANNA SEGOVIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2016040150) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2014015883) |
Enumeration Date | 2014-08-21 |
Last Update Date | 2021-12-07 |